Parents' Night Out (respite program for parents of children with special needs)

Libby Fogle Lunch Bunch: Senior Lunch Program

Resume Assistance

Yard Work

Wheels to Wellness

*7.

Question - Required -
REFERENCES (PLEASE INCLUDE THE NAME, EMAIL, PHONE NUMBER, AND RELATIONSHIP OF ONE PERSONAL AND ONE PROFESSIONAL REFERENCE).

*8.

Question - Required -
HAVE YOU EVER BEEN CONVICTED OF A CRIMINAL OFFENSE?

YesNo

9.

Question - Not Required -
IF YES, WHAT CRIME AND CONVICTION? (NOTE: BEING CONVICTED OF A CRIME DOES NOT AUTOMATICALLY PREVENT YOU FROM VOLUNTEERING.)

*10.

Question - Required -
HAS YOUR DRIVER'S LICENSE BEEN SUSPENDED OR REVOKED IN ANY STATE? NOTE: FOR VOLUNTEER POSITIONS THAT REQUIRE DRIVING, A DRIVING RECORD WILL BE PULLED.

YesNo

*11.

Question - Required -
DO YOU HAVE ANY MEDICAL CONDITIONS (PHYSICAL OR MENTAL) OR TAKE ANY MEDICATION THAT WOULD AFFECT YOUR ABILITY TO PERFORM YOUR VOLUNTEER DUTIES, OR THAT THE VOLUNTEER SERVICES DEPARTMENT SHOULD BE AWARE OF?

Question - Not Required -
TERMS AND CONDITIONS MEDIA RELEASE: I GIVE PERMISSION TO THE JEWISH FAMILY SERVICES TO USE PHOTOGRAPHS, AND/OR VIDEO, AND/OR AUDIO OF ME OBTAINED WHILE PARTICIPATING AS A VOLUNTEER WITH THE AGENCY. I RELEASE THE AGENCY FROM ANY AND ALL LIABILITIES ARISING FROM THE USE OF THESE ITEMS FOR PUBLICITY PURPOSES AND WAIVE THE RIGHT TO ALL NEGATIVES, PHOTOS, TAPES AND REPRODUCTIONS, AS WELL AS WAIVE MY RIGHT TO INSPECT OR APPROVE THE FINISHED PHOTOGRAPHS AND/OR TAPES. ALL REGULAR VOLUNTEERS WILL BE ASKED TO SUBMIT TO CIVIL AND CRIMINAL BACKGROUND CHECKS, CHARACTER REFERENCES CHECKS, AND MOTOR VEHICLE RECORD CHECKS. DEPENDING ON THE VOLUNTEER POSITION, YOU MAY BE ASKED TO PROVIDE A COPY OF YOUR CURRENT PROOF OF VEHICLE INSURANCE. ALL VOLUNTEERS PARTICIPATING IN PROGRAMS INVOLVING DRIVING ON BEHALF OF THE JEWISH FAMILY SERVICES MUST CARRY PERSONAL VEHICLE INSURANCE REQUIRED BY INDIANA LAW. YOU MUST HAVE ADEQUATE AUTOMOBILE INSURANCE WHEN YOU DRIVE JFS CLIENTS. JFS DOES NOT PROVIDE INSURANCE COVE
(Maximum response 255 chars, approx. 5 rows of text)